| NPI | 1447685391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004918) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical (Licence: CO Pay.0004918) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2020-02-24 |